Individual provider Active NPI

Johnny Emmanuel Williams

  • Counselor
  • College Park, MD
National Provider Identifier
1124811856
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
9308 Cherry Hill Road
Apt. 203
College Park, MD 20740-1233
Phone
(301) 326-8471
Fax
(301) 326-8471
NPI assigned
May 26, 2025
Last updated
May 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

9308 Cherry Hill Road
Apt. 203
College Park, MD 20740-1233

Mailing address

9308 Cherry Hill Road
Apt. 203
College Park, MD 20740-1233
Phone (301) 326-8471

Other practice location 1

11434 Lockwood Dr Apt 302
Silver Spring, MD 20904-2657
Phone (301) 326-8471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1124811856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 CHERRY HILL ROAD",
            "address_2": "APT. 203",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401233",
            "telephone_number": "301-326-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9308 CHERRY HILL ROAD",
            "address_2": "APT. 203",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401233",
            "telephone_number": "301-326-8471",
            "fax_number": "301-326-8471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11434 Lockwood Dr Apt 302",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209042657",
            "country_code": "US",
            "telephone_number": "301-326-8471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHNNY",
        "middle_name": "EMMANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.